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NPI Code Detail

MEDICARE: DR. RISHI ASHOK ROY M.D.

MEDICARE:  DR. RISHI ASHOK ROY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician24562MS

General Provider Information

NPI Number : 1215249016
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RISHI ASHOK ROY M.D.
Provider Business Mailing Address
First Line : 2101 HIGHWAY 90
Second Line :
City : GAUTIER
State : MS
Zip : 39553-5340
Country : US
Telephone Number : 228-497-7576
Fax Number :
Provider Business Practice Location Address
First Line : 3603 BIENVILLE BLVD STE 103
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5736
Country : US
Telephone Number : 228-762-3000
Fax Number : 228-818-4151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2010
Last Update Date : 05/06/2025

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Directions to “ DR. RISHI ASHOK ROY M.D.” Practice Location

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